
| Occupation | Accountant |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Edith Jane Salier c/o E W Salier, Forestry Department, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | 17th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Miscellaneous details (Nominal Roll) | see other |